11690 SW 79TH AVENUE-1 y,
._ 11690 SW 79TH AVENUE
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ASPECTION NOTiCE
City o Tigard Building Department
P.O. Box 2.3397
Tigard, Oregon 97223
Phone: 639-4175
1 ype of Inspection ---- --- --- —
Date Requested �/"_ _— Z— �' b Time__._____ A.M.
Address ��5� " ,� 7-4
• ...__.___ Permit
Owner ------ -- _. -___-- Lot #--
Buirder __----__-.--
The following Building Code deficiencies are required to be corrected:
-
Presented to .---_._-- -------_-.— LAWneed
Inspector —__ _ [j Dlapplo"d
Date -- — CALL FOR FOR REINSPECTION
❑ `lE$ ❑ NO
Irt.
W WIWIWiR t
i
INSPECTION NOTICE
Citv o! Tigard Building. Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6399-4175
Type of Inspection —
Date Requested.d__—/l--7�p Timetr - A.M. P.M.
Address ..11�7 O-__ !.___!-_ — Permit # 6 ,1_---
Owner----------.--..._. `- -- r _ �._._____ Lot #----
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to
Inspector _ — __: ❑ Disapproved
Date
CALL FOR REINSPECTION
P VES 0 NO
CITY O" TIGARD 639-41716363DArE uta
cio �r� tg 86
BUILDING PERMIT / D -
TAX MAP _-,$�'�V_LO.r N0. 17 SUBDIVISION
OWNER JOB ADDRESS 11690 SW 19th Ave. Lane
<<ik i.elly
BUILDER STATE FIEG NO. 1663 _ _—EXP.DATE 11^2�'116
------- --------- ----
BUILDER'S PHONE 285-1461
ARCHITECT PHONE OTHER
STRUCTURE NEW REMODEL { ADDITION L REPAIR F MOVE OTHER n DEMOLITION
f•, RESIDENCE COMM EDUCATION IND RELIGIOUS ACCESSORY 3ARAGE I ) OTHER 1 FENCE
OCCUPANCY LAND USE ZONE BLDG TYPE: _FIRE ZONE PLAN CHECK BY F'1 HEAT
Y j..+nu i Fir.ts NA(id dfirk Anti I%Ax wintlitti to e-,cigrink,sink 1 - ti ai y dwollini, ull
S�18DA e
ii i u� ni •u1_rirtrmit radmireL; for no turnHce.
SEWER PERMIT M
OCC.LOAD FLOOR LOAD HEIGHT lU NO STORIES 1 AREA!Uij NO BEDROOMS VALUE _J�j L
BUILDING DEPARTMENT —_ SET BACKS FRONT REAR Ll:�_T SIDE RIGHT SIDF
Permit _ 122•5U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON NG
ly.ta REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ IWORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPI IANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4.90 _
Total 2U! U3
PDCN — / / -
X__ —��_ APL CANT OR AtiENT
Prepd.
Receipt No. � ADDRESS --�---------------------- -PHONE �--
Bal.Due �2].4U _
Issued By __—Approved By i
i
i
DATE INSP. TYPEINSPECT!ON REMARKS PLUMBING DATE
Contractor
/.?i" �� ���—,�jQ _-- Permit No. —
' /v Rough-In
F ---T
ixture
Final
HEATING
Contusctor
Permit No.
-'— _ Gas or Oil
Rough-In
F final
-- �- - — ---- SEWER
- Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
— —- Sidewalk
-- Curb&Street Final
Approach
BLDG.DEPT.FINAL J TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping I
Zoning Final
r
p/c /a e- -
CITY OF TIGARD 639.4171 DATE
BUILDING PEr,v1IT � TLY'W O.A�
TAX MAP LOT NO. 1 1'1 SUBDIVISION
OWNER I t'' �y CII P FQD JOB ADDRESS J-Ul`IU _`�W rlr�T H --
BUILDER NG IL STATE REG.NO. I�,-) EXA.DATE
BUILDER'S PHONE 28 � j
ARCHITECT Ms IILA -� _i ^� _ -, PHONE _-_—.---OTHER
STRUCTURE ❑ NEW O-REMODEL ® ADDITION Q REPAIR ❑ MOVE ❑ OTHER L) DEMOLITION
® RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY Q GARAGE ❑ HER ❑ FENCE
OCCUPANCY-LAND USE ZONE BLDG.TYPE PLAN CHECK BY HEAT ____
---
_ ' l Zig e� ..�5;�.-Yn.�.%� il...� 4�'. � --s-z.�.....� �.."�-►�.�.-
SEWER PERMIT M —
OCC.LOAD FLOOR LOAD HEIGHT,/d*- NO,STORIES L AREA NO.BEDROOMS
_ BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CQDE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND"JRDh'ANCES.ANU R IS HEREBY AGREED THAT THE
Plan Check 74 6 3 WORK WILL BE DONE IN ACCORDANCF WITH TSE PLANS AND SPMFiCATWNS AND IN COMPLIA14CE
WITH ALL APPLICABLE CODES AND OROINANAS. THE ISSIIA.'ICE OF THO PERMIT DOES NOT WAIVE
PI.COL Flre RESTRICTIVE COVENANTS. CONTRACTOR ANI)SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
uTAX PERMITS.SEPARATE PERMITS REQUIRED E OR SEWER,PLUM DING AND HEATING1,
Stale Taxl - 9
Total
3 SDC - -
APPLICANT OR AGENT
POCS
ti z.
Prepd. --`►HONE
. ADDRESS
Bal.Due Recelpt No
.�
---- -- laaued By--- __J►PProveG ey
SSDC - $
GDC — -f— I / L
PUC --Ar-_
SEWERC.ONNECTION 5
SEWER INSPECTION f
SEWER SURCHARGE S
(:o mm e n t e; ------
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED:/Q % 8"
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to certif_• that the attached 2_ sets of plans have been submitted for plan
check pursuent to the Oregon Structural Code and Fire & Life Safety Code, _ S edition.
PROPERTY OWNER: I j a(— OWNER'S ADDRESS: (
CONTRACTOR: TELEPHONE:
JOB ADDRESS: (, (, `� 1 '� LOT NO. & MAP:
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
OPlanning Dept. O Reissue
0 Engineering Dept. O Flood Plain/Sensitive Lands
OFire District O Sewer Availability
OOther O Other
Items Required
nList of subcontractors
0 Rusine;,s Tax 2-7 y v
1 1 Calculations
OTruss Details
Parking Plan
OLandscape Plan
OOther
COMMENTS:
City of Tigard Building; Department
37- 32d vv•'~ PLUrtilt3lWG PERMIT
- NU
_ ��-----_, holder of a valid plumbing contractors license is hereby
authorized to cause plurnhin0 w rk as harein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shill be notified not less than four
(1) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sup-contractors.
n Job '1jl
g��_ .� .
Date. VT1
NUNM�11 OV TOTAL
TYPE OF PERM11 _Irkhts FEF ON C-ACH AROUNT
$inyL FeM',Iy7 bath-each .�.�---
Ou�6:x-Ea%h 1 bath unit �._ _r.._ . 25.00
Additlonal bit; moms.-each _ 10.00_
I YMobi!e Home Space-each _M +�- 16.00
1MUlv_lounL FtxruRE COm�IE:RCZAI
_1Itto_50 Fixtures in 1 building_-cacti. 3.00
51
51 to 100 Fixtures in 1 bnitdin_g__eacfi
101 to 700 Fixturst in 1 building_cache_-•M„
701 or more Fixture4 in.i bulldiny_ear•F_
f+1 I S L E L_L A N E G U S _
L 5+.ver-ea_h additional 100 ftp
Warir $in+ice to building 8.00_
-00vr ISn1ciF I
PERMIT - ,�1) b-i� For Plumbing Inspection Phor.�6394171
A;;State _ —�;,.'�`G Plumbing Contractor R �
i ,
TOTAL !v____ RL-CFIPY NO. Issued Eiy _—. -____-